Clinical Trials Search

Molecular Analysis for Therapy Choice (MATCH)

Protocol:

EAY131 MATCH- Master

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
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    BIOPSIES ARE NO LONGER PROVIDED BY STUDY FUNDS. PATIENTS MUST MATCH ON NON-STUDY FUNDED REPORTS TO BE ELIGIBLE

    Step 0 Eligibility: **Check for eligibility to EAQ152 COMET Step 1**
    Please note: it is estimated to take 6-8 weeks to be assigned to a treatment on this trial.
    -Patients must have histologically documented solid tumors or histologically confirmed diagnosis of lymphoma or multiple myeloma that has progressed following at least one line of standard systemic therapy and/or for whose disease no standard treatment exists that has been shown to prolong survival.
    -Patients must have measurable disease.
    -Patients must meet one of the following:
    --have tumor amenable to image guided or direct vision biopsy and be willing and able to undergo a tumor biopsy for molecular profiling. Biopsy must not be considered to be more than minimal risk to the patient. OR
    --will be undergoing a procedure due to medical necessity during which the tissue may be collected OR
    --tissue blocks collected within 6 mo prior to pre-reg are available for a patient who has not received any intervening therapy that is considered to be targeted- the patient may have received cytoxic chemo for up to 4 cycles but must not have responded
    -Patient must not require the use of full dose coumadin-derivative anticoagulants such as warfarin. Low molecular weight heparin is permitted for prophylactic or therapeutic use. Factor X inhibitors are permitted.
    -Patients must have ECOG performance status 0- 1
    -Any prior therapy, radiotherapy (except palliative radiation therapy of 30 Gy or less), or major surgery must have been completed greater than or equal to 4 weeks prior to treatment on MATCH and patient must be recovered from adverse events due to prior therapy (except alopecia and lymphopenia)
    -Palliative radiation therapy must have been completed at least 2 weeks prior to enrollment on a MATCH treatment arm and patient must have recovered from any adverse events of this therapy.
    -Patients with brain metastases or primary brain tumors must have completed treatment, surgery or radiation therapy greater than or equal to 4 weeks prior to registration.
    -NOTE: patients may receive non-protocol treatment after biopsy until they receive notification of results as specified per protocol; however, patients will need to be off of therapy for at least 4 weeks before receiving MATCH treatment.
    -Patients with brain mets or primary brain tumors must have completed tx, surgery or RT at least 4 weeks prior to tx.
    -Patients must have discontinued steroids greater than or equal to 1 week prior to registration (see protocol for exceptions). Patients with glioblastoma (GBM) must have been on stable dose of steroids, or be off steroids, for one week prior to registration
    -No factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age or any concomitant medication known to prolong the QT interval

    Step 1 Eligibility:

    -See the specific subprotocol eligibility
    -Some patients may be eligible to have their results rerun in Matchbox, even if they did not match to a treatment initially. See protocol for details.

    Step 2 Eligibility:
    -
    Patient's disease has progressed on Step 1 treatment or could not tolerate assigned treatment.
    -Patients must meet one of the following criteria:
    --No response and progression occurred less than 6 months from start of Step 1 treatment AND the MATCH assay results (received during Step 0) indicated > 1 targeted treatment.
    --Progression occurred after a (1) response OR (2) after greater than or equal to 6 months from start of Step 1 treatment. 
    -Patients must meet eligibility criteria for biopsy

    Patient can be registered to subsequent steps depending on eligibility for further subprotocols.

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Phase II Trial of Afatinib in Patients with Solid Tumors (Other Than Small Cell and Non-Small Cell Lung Cancer) or Lymphomas, That Have Activating Mutations of EGFR and Have Progressed After Standard Treatment

Protocol:

EAY131- A (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View
    Subprotocol A eligibility (in addition to master eligibility):
    -Patient’s tumor must have either:
    --Activating mutations of EGFR (del 19, L858R) by MATCH NGS assay. OR
    --Any malignancy harboring any of the following mutations: EGFR G719A, G719C, G719D, G719S EGFR L861Q, EGFR S768I OR
    --EGFR T790M de novo or in combination with other mutations.
    -Note: tumors with an exon 20 insertion alone without the above mutations will be excluded.
    -Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG
    -Patients must have an ECHO/MUGA within 4 weeks prior to treatment assignment and must not have a LVEF < LLN.
    -Patients must have less than or equal to Grade 1 renal function defined:
    --Creatinine less than or equal to 1.5 x normal institutional limits OR
    --Measured Creatinine clearance greater than or equal to 60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal or as calculated by the Cockcroft-Gault Equation.
    -Patients must not have had prior treatment with an EGFR TKI (e.g. Afatinib, Erlotinib, Gefitinib, Neratinib, Dacomitinib, AZD9291, Cabertinib, CO-1696).
    -Patients with non-small cell lung cancer and small cell lung cancer will be excluded.
    -Patients with a history of interstitial lung disease will be excluded.
    -Patients must have less than or equal to Grade 1 diarrhea at baseline.

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Phase II Study of Afatinib in Patients with Tumors with HER2 Activating Mutations

Protocol:

EAY131-B (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View
    Subprotocol B Eligibility (in addition to master protocol):
    -Patient’s tumor must have activating HER2 mutation as determined by the MATCH NGS
    assay. These mutations include: D769Y, D769H, P780_Y781insGSP, L755S, V777L, V842I, L755_S760>A, A775_G776insYVMA, M774_A775insAYVM, E321G, G309A, • S310F, G309E, S310Y
    --Additionally, any inframe insertions in exon 20 will be considered an activating mutation
    -Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment
    assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG
    -Patients must have an ECHO/MUGA within 4 weeks prior to treatment assignment and must not have a LVEF < LLN.
    -Patients must have less than or equal to Grade 1 diarrhea at baseline
    -Patients with a history of interstitial lung disease will be excluded.
    -Patients must not have had prior treatment with any of the following TKIs, which have
    known activity against HER2 kinase:Neratinib, Afatinib, AC-480 (BMS-599626), AEE 788, AST 1306, AZD8931, Canertinib (CI 1033), CP-724714, CUDC-101, Dacomitinib, Lapatinib, Perlitinib, TAK285
    -Patients must have less than or equal to Grade 1 renal function defined:
    --Creatinine less than or equal to 1.5 x normal institutional limits OR
    --Measured Creatinine clearance greater than or equal to 60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal or as calculated by the Cockcroft-Gault Equation.
    -Patients with non-small cell lung cancer will be excluded.
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Crizotinib in Patients with Tumors with MET Amplification

Protocol:

EAY131-C1 (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
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    Subprotocol C1 eligibility (in addition to Master eligibility):
    -Patient must have MET amplification as defined by the MATCH NGS assay. Amplified MET will be defined as = 7 copies/cell.
    -Patient must not have had any of the following prior therapies: AMG 337, BMS 777607, Cabozantinib (XL184), Crizotinib (PF02341066), EMD1214063, Foretinib (GSK1363089) (XL880), Golvatinib (E7050), IncB28060 (INC280), JNJ 8877605, MGCD265, MK2461, MSC2156119J, PF 04217903, SGX523, Tivantinib (ARQ197) or any other novel MET TKI with any MET inhibitory activity IC50 < 1 uM. Prior anti-HGF or anti-MET antibodies are acceptable.
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Phase 2 study of crizotinib in patients with tumors with MET exon 14 deletion

Protocol:

EAY131-C2 (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View
    Subprotocol C2 eligibility (in addition to Master eligibility):
    -Patient must have MET exon 14 skipping as defined by the MATCH NGS assay.
    -Patient must not have had any of the following prior therapies: AMG 337, BMS 777607, Cabozantinib (XL184), Crizotinib (PF02341066), EMD1214063, Foretinib (GSK1363089) (XL880), Golvatinib (E7050), IncB28060 (INC280), JNJ 8877605, MGCD265, MK2461, MSC2156119J, PF 04217903, SGX523, Tivantinib (ARQ197) or any other novel MET TKI with any MET inhibitory activity IC50 < 1 uM. Prior anti-HGF or anti-MET antibodies are acceptable.
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AZD9291 in Patients with Tumors Having EGFR T790M Mutations (Except Non-Small Cell Lung Cancer) or Rare Activating Mutations of EGFR

Protocol:

EAY131-E (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View

    Subprotocol E Eligibility (in addition to master):
    -Patients must have either:
    --Any malignancy other than non-small cell lung cancer and have EGFR T790M identified in their tumor, with or without an activating mutation OR
    --Any malignancy harboring any of the following mutations: EGFR G719A, G719C, G719D, G719S EGFR L861Q, S786I or an EGFR exon 19 in frame insertion mutation
    -Patients must have an ECG within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG .
    -Patients must have an ECHO/MUGA within 4 weeks prior to treatment assignment and must not have a LVEF < institutional LLN.
    -Patients must not have known hypersensitivity to AZD9291 or compounds of similar chemical or biologic composition.
    -Patient must not have received AZD9291, WZ4002, CO-1686, HM61713, EGF816 or ASP8273 previously.
    -Patients known to harbor germline EGFR T790M mutations are excluded from the study. Prospective testing for germline mutations is not required.

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Crizotinib in Patients with Tumors (Other Than Adenocarcinoma of Lung or ALCL) with ALK Translocations

Protocol:

EAY131-F (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View

    Subprotocol F Eligibility (in addition to master):
    -Patients must have an ALK rearrangement as determined by the MATCH screening assessment.
    -Patients must not have non small cell lung cancer or ALCL.
    -Patients with a history of interstitial lung disease or pneumonitis are excluded.
    -Patients must have an ECG within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG
    -Patients must not have known hypersensitivity to crizotinib or compounds of similar chemical or biologic composition.
    -Patients must not have had prior ALK-targeted inhibitors, including crizotinib, ceritinib, alectinib, AP26113, TSR-011, X-396, RXDX-101, CEP-37440, PF-06463922Patients must not have had brain metastases unless 1) treated and neurologically stable for at least 2 weeks, or 2) untreated, asymptomatic, and treatment is not indicated. Steroids are permitted if doses are stable (or tapering) for 2 weeks prior to study enrollment.

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Phase II Study of Crizotinib in Patients with ROS1 Translocations (Other Than Patients with Non-Small Cell Lung Cancer)

Protocol:

EAY131-G (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View

    Subprotocol G Eligibility (in addition to master):
    -Patients must be positive for translocation or inversion events involving the ROS1 gene as detected on the MATCH NGS assay
    -Patients must not have adenocarcinoma of the lung.
    -Patients with a history of interstitial lung disease or pneumonitis are excluded.
    -Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG
    -Patients must not have known hypersensitivity to crizotinib or compounds of similar chemical or biologic composition.
    -Patients must not have had prior therapy with any ROS1 inhibitor including crizotinib, ceritinib, foretinib, cabozantinib, AP26113, ASP3026, WZ-5-126, TAE684, KIST301072, KIST301080, AZD1480, PF-06463922, RXDX-101 and PF-3922

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Phase II Study of Dabrafenib and Trametinib in Patients with Tumors with BRAF V600E or V600K Mutations (Excluding Melanoma and Thyroid Cancer)

Protocol:

EAY131-H (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
    Click Here to View

    Subprotocol H Eligibility (in addition to master)
    -Patients must have a BRAF V600E or, V600K, V600R or V600D mutation as identified via the MATCH Master Protocol.
    -Patients with a diagnosis of metastatic melanoma from a cutaneous, acral, mucosal, or unknown primary site are excluded.
    -Patients with a diagnosis of papillary thyroid cancer are excluded.
    -Patients with a diagnosis of colorectal cancer are excluded
    -Patients must have an ECHO/MUGA within 4 weeks prior to treatment assignment and must not have a LVEF < the institutional LLN.
    -Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment assignment and must have NONE of the following cardiac criteria:
    --Clinically important abnormalities in rhythm, conduction or morphology of resting ECG (e.g. complete left bundle branch block, third degree heart block).
    --Treatment-refractory hypertension defined as a blood pressure of systolic >140 mmHg and/or diastolic > 90 mmHg which cannot be controlled by anti-hypertensive therapy.
    -Patients with a history of interstitial lung disease or pneumonitis are excluded.
    -Patients must not have known hypersensitivity to dabrafenib and trametinib or compounds of similar chemical or biologic composition or to dimethyl sulfoxide (DMSO).
    -Patients must not have a history or current evidence/risk of retinal vein occlusion (RVO). 
    -Patients who previously received MEK inhibitors (including, but not limited to, trametinib, binimetinib, cobimetinib, selumetinib, RO4987655 (CH4987655), GDC-0623 and pimasertib) will be excluded.
    -Patients who previously received BRAF inhibitors (including, but not limited to, dabrafenib (Tafinlar), vemurafenib (PLX-4720) (Zelboraf), RAF265, LGX818 (encorafenib), RO5212054 (PLX3603), ARQ 736, XL281 (BMS-908662), CEP-32496, and the BRAF/MEK dual inhibitor RO5126766) will be excluded.
    -Patients with prior exposure to dabrafenib or trametinib on another treatment subprotocol of the MATCH trial are excluded.
    -Patients who previously received monoclonal antibody therapy (eg. Ipilimumab and others) must have stopped the prior therapy for 8 or more weeks before starting on trametinib and dabrafenib.
    -Patients with a history of Hepatitis B Virus (HBV) or Hepatitis C Virus (HCV) infection are excluded.
    -Patients with history of RAS mutation-positive tumors are not eligible regardless of interval from the current study.

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GDC-0032 (taselisib) in Patients with Tumors (other than breast cancer) with PIK3CA mutation but without KRAS mutation or PTEN loss

Protocol:

EAY131-I (MATCH)

Category:
Genomic Based Trial
Department:
Oncology
Status:
CLOSED TO ACCRUAL
  • Eligibility:
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    Subprotocol I eligibility (in addition to master eligibility):
    -Patients must have a PIK3CA mutation detected in their tumor sample as determined by the MATCH screening assessment.
    -Patients must not have breast cancer.
    -Patients with squamous cell carcinoma of the lung who have PIK3CA mutations are not eligible.
    -Patients must not have KRAS mutations, and/or PTEN mutation or loss, detected in the tumor sample as determined by the MATCH screening assessment.
    -Patients must not have had prior therapy with a PI3K inhibitor or PI3K/mTOR inhibitor.
    -Patients must not have had prior therapy with an Akt inhibitor.
    -Patients with prior treatment with an mTOR inhibitor are acceptable.
    -Patients must not have current dyspnea at rest or require any daily supplemental oxygen
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